NTISthis.com

Evidence Guide: HLTENN029 - Apply nursing practice in the contemporary aged care setting

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTENN029 - Apply nursing practice in the contemporary aged care setting

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Address the health care needs of an older person in contemporary aged care settings

  1. Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person
  2. Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge
  3. Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable
  4. Recognise crisis situations involving the older person and implement emergency management as required
  5. Adjust communication strategies appropriately when communicating with an older person who has sensory loss
Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise crisis situations involving the older person and implement emergency management as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Adjust communication strategies appropriately when communicating with an older person who has sensory loss

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage an older person’s care using a person-centred approach to support continued independence

  1. Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition
  2. Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change
  3. Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person
  4. Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures
  5. Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required
  6. Identify the person’s understanding of their condition and current therapies and review their ability for self-management
  7. Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate
  8. Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the person’s understanding of their condition and current therapies and review their ability for self-management

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess and respond to the needs of a person experiencing loss and grief

  1. Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains
  2. Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss
  3. Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process
  4. Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures
Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively promote improvement and advancement of aged care nursing

  1. Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team
  2. Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing
  3. Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice
  4. Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage an older person’s care using a person-centred approach to support continued independence

  1. Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition
  2. Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change
  3. Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person
  4. Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures
  5. Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required
  6. Identify the person’s understanding of their condition and current therapies and review their ability for self-management
  7. Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate
  8. Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the person’s understanding of their condition and current therapies and review their ability for self-management

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Address the health care needs of an older person in contemporary aged care settings

1.1 Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person

1.2 Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge

1.3 Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable

1.4 Recognise crisis situations involving the older person and implement emergency management as required

1.5 Adjust communication strategies appropriately when communicating with an older person who has sensory loss

2. Manage an older person’s care using a person-centred approach to support continued independence

2.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

2.2 Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

2.3 Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

2.4 Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

2.5 Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

2.6 Identify the person’s understanding of their condition and current therapies and review their ability for self-management

2.7 Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

2.8 Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

3. Assess and respond to the needs of a person experiencing loss and grief

3.1 Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains

3.2 Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss

3.3 Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process

3.4 Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures

4. Actively promote improvement and advancement of aged care nursing

4.1 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

4.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing

4.3 Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice

4.4 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Address the health care needs of an older person in contemporary aged care settings

1.1 Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person

1.2 Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge

1.3 Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable

1.4 Recognise crisis situations involving the older person and implement emergency management as required

1.5 Adjust communication strategies appropriately when communicating with an older person who has sensory loss

2. Manage an older person’s care using a person-centred approach to support continued independence

2.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

2.2 Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

2.3 Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

2.4 Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

2.5 Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

2.6 Identify the person’s understanding of their condition and current therapies and review their ability for self-management

2.7 Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

2.8 Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

3. Assess and respond to the needs of a person experiencing loss and grief

3.1 Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains

3.2 Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss

3.3 Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process

3.4 Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures

4. Actively promote improvement and advancement of aged care nursing

4.1 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

4.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing

4.3 Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice

4.4 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

analysed health information and the clinical presentation of 2 older people in the workplace, to reach a substantiated conclusion about possible nursing interventions to support continued independence and specialised health care in consultation with a registered nurse, including:

monitoring and providing effective symptom management of pain, hydration and nutritional needs, oral health issues and elimination needs

applying person-centred care and principles of rehabilitation in nursing interventions

supporting self-management strategies including use of appropriate devices or aids.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

aged care system in Australia

protocols for admission and transfer of older person to acute care environments

aged care assessment and funding arrangements and associated documentation

age-related adjustments and transitions for the older person

evidence-based practice in aged care environment

health illness continuum model

philosophy of loss and grief, and how to deal with others experiencing loss or complex grief reactions

philosophy underpinning aged care and extended care management

legal and ethical issues and considerations, and assessment tools relevant to the older person, including but not limited to:

advance care directives

Aged Care Act 1997 (Cwlth)

Aged Care Funding Instrument (ACFI)

carers recognition legislation

aged care risk classification system

Code of ethics for nurses in Australia’ and the ‘Code of professional conduct for nurses’ (Nursing and Midwifery Board of Australia)

Residential Care Quality Assessment (ResCareQA)

legal requirements associated with abuse of the older person.